CINCINNATI PET SCAN, LLC (NPI# 1063525582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063525582 |
| Entity Type | Organization |
| Organization Name | CINCINNATI PET SCAN, LLC |
| Practice Address |
5575 Cheviot Road Monfort Heights Cincinnati OH 45247 |
| Practice Telephone | 5133858994 |
| Practice Fax Number | 5133853994 |
| Mailing Telephone | 5133858994 |
| Mailing Fax Number | 5133853994 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN MATTES (PRESIDENT) |
| Authorized Official Telephone | 5137919959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 86000379 | 05 | |
| OH | 2487590 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023195088 | Cincinnati Pet Scan, LLC | Clinic/Center | 651 Centre View Blvd, 110, Crestview Hills, KY 41017-5423 | 2006-11-01 |
| 1851407217 | Cincinnati Pet Scan, LLC | Clinic/Center | 5575 Cheviot Road, Westside Ct Center, Cincinnati, OH 45247 | 2006-08-21 |
| 1386757896 | Cincinnati Pet Scan, LLC | Clinic/Center | 4777 E Galbraith Rd, 1st Floor, Cincinnati, OH 45236-2725 | 2006-08-17 |
| 1740224419 | Cincinnati Pet Scan, LLC | Clinic/Center | 651 Centre View Blvd, Cresview Hills, KY 41017 | 2006-06-15 |
| Street Address |
5575 CHEVIOT ROAD MONFORT HEIGHTS |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851407217 | Cincinnati Pet Scan, LLC | Clinic/Center | 5575 Cheviot Road, Westside Ct Center, Cincinnati, OH 45247 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368118 | Kimberly Carol Downs | Licensed Practical Nurse | 6460 Harrison Avenue, Cincinnati, OH 45247 | 2019-10-22 |
| 1487130100 | Stacey G Coleman | Counselor | 6860 Harrison Ave, Suite 200, Cincinnati, OH 45247 | 2018-07-16 |
| 1922526524 | Tawnya Mcnulty | Occupational Therapy Assistant | 6165 Taylor Road, Cincinnati, OH 45247 | 2017-09-02 |
| 1942733704 | Mary Kathleen Herman | Dentist | 8111 Cheviot Rd Ste 102, Cincinnati, OH 45247 | 2017-04-09 |
| 1831501287 | Cesar Mel Froilan Cabigon | Internal Medicine | 8132 Fawn Lake Ct Loc 251, Cincinnati, OH 45247 | 2014-05-20 |
| 1447699459 | Mullaney Medical, Inc | Durable Medical Equipment & Medical Supplies | 5907 Cheviot Rd, Cincinnati, OH 45247 | 2013-06-24 |
| 1891035994 | Tara Mcintosh | Pharmacist | 6552 Harrison Rd, Cincinnati, OH 45247 | 2013-02-26 |
| 1629353677 | Teresa Zuidema | Pharmacist | 5403 North Bend Ave., Cincinnati, OH 45247 | 2011-10-20 |
| 1982842159 | Timothy John Kreimer | Dentist | 3560 Blue Rock Rd, Cincinnati, OH 45247 | 2009-01-27 |
| 1437219961 | Donald R Murdock | Dentist | 5420 North Bend Rd, Cincinnati, OH 45247 | 2006-12-12 |
| Find all providers in zip 45247 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
| 1710417605 | B&d Radiology Partners Pllc | Clinic/Center | 452 Ashsteade Ln, Cincinnati, OH 45255-3710 | 2017-06-14 |
| 1649318643 | Evendale Ancillary Services, LLC | Clinic/Center | 3147 Glendale Milford Road, Cincinnati, OH 45241 | 2007-02-02 |
| 1194778654 | Advanced Diagnostics | Clinic/Center | 8074 Beechmont Ave, Cincinnati, OH 45255-5108 | 2006-05-18 |
| 1851407217 | Cincinnati Pet Scan, LLC | Clinic/Center | 5575 Cheviot Road, Westside Ct Center, Cincinnati, OH 45247 | 2006-08-21 |
| 1386757896 | Cincinnati Pet Scan, LLC | Clinic/Center | 4777 E Galbraith Rd, 1st Floor, Cincinnati, OH 45236-2725 | 2006-08-17 |
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|---|---|---|---|---|
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| 1912532904 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 26151 Euclid Ave Ste 130, Euclid, OH 44132-3300 | 2020-03-10 |
| 1326510868 | Genetesis, Inc. | Clinic/Center | 5412 Courseview Dr Ste 150, Mason, OH 45040-2483 | 2018-12-21 |
| 1235671710 | Citran Xray LLC | Clinic/Center | 7774 Dayton Springfield Road, Fairborn, OH 45324-1996 | 2016-11-15 |
| 1598163164 | Fostoria Hospital Association | Clinic/Center | 455 W 4th St Ste 30, Fostoria, OH 44830-1864 | 2014-12-15 |
| 1487991360 | Birchcrest Holdings, LLC | Clinic/Center | 19250 Bagley Rd Ste 202, Cleveland, OH 44130 | 2013-01-11 |
| 1487922548 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 2800 Hayes Ave # Bdlgc130, Sandusky, OH 44870 | 2011-12-05 |
| 1164726360 | Birchcrest Holdings, LLC | Clinic/Center | 4760 Richmond Rd Ste 300, Cleveland, OH 44128 | 2011-01-03 |
| 1215170824 | Value Added Imaging Services, LLC | Clinic/Center | 5192 Chillicothe Rd Ste 102, Chagrin Falls, OH 44022-4196 | 2009-04-13 |
| 1114103504 | Vital Scan of Central Ohio | Clinic/Center | 5747 Perimeter Dr., Ste 105, Dublin, OH 43017 | 2008-01-15 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45247 |
Please comment or provide details below to improve the information on CINCINNATI PET SCAN, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.